LISA HORNER (NPI# 1093090615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093090615 |
| Entity Type | Individual |
| Full Name | LISA HORNER |
| Practice Address |
958 Hailey Ln Pueblo West CO 81007-4438 |
| Practice Telephone | 7194040081 |
| Mailing Telephone | 7194040081 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2013-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHA.0019362 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | S018885 | AZ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH-0013046 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 3532 | WY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 18129 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| 1194174060 | Lisa Lynn Horner | Social Worker | 302b N Missouri St, Macon, MO 63552-1748 | 2016-06-10 |
| 1407337488 | Lisa Michelle Horner | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2018-08-27 |
| 1821468000 | Lisa Horner | Counselor | 1095 New Brooklyn Erial Rd, Sicklerville, NJ 08081-3284 | 2015-10-01 |
| Street Address |
958 HAILEY LN |
| City | PUEBLO WEST |
| State | CO |
| Zip Code | 81007-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114295 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 958 Hailey Ln, Pueblo West, CO 81007-4438 | 2006-07-29 |
| 1710254396 | Daniel S Iler | Pharmacist | 958 Hailey Ln, Pueblo West, CO 81007-4438 | 2011-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
| 1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
| 1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| 1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
| 1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| Find all providers in zip 81007 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803369 | Megan Wolther | Pharmacist | 1873 W Galileo Dr, Pueblo West, CO 81007-2214 | 2015-02-09 |
| 1023414190 | Donald Hirsch | Pharmacist | 98 E Palmer Lake Dr, Pueblo West, CO 81007-1784 | 2014-11-17 |
| 1720498256 | William Dennis Woodcox | Pharmacist | 35 W Sunnyslope Dr, Pueblo West, CO 81007-7523 | 2014-05-06 |
| 1245480458 | Shannon Belle Bethel | Pharmacist | 227 S Caddoa Dr, Pueblo West, CO 81007-1604 | 2008-09-24 |
| 1992955520 | Lawrence Scott Bethel | Pharmacist | 952 W La Grange Dr, Pueblo West, CO 81007-3123 | 2008-09-18 |
| 1477116465 | Robert Steve Jackson | Pharmacist | 78 N Mcculloch Blvd, Pueblo West, CO 81007-4444 | 2019-04-16 |
| 1982267175 | Charla Lanham | Pharmacist | 78 N Mcculloch Blvd, Pueblo West, CO 81007-4444 | 2019-04-15 |
| 1114370673 | Mary Lien | Pharmacist | 78 N Mcculloch Blvd, Pueblo West, CO 81007-4444 | 2016-07-20 |
| 1275801920 | Nicole Ann Rubalcaba-lopez | Pharmacist | 78 N Mcculloch Blvd, Pueblo West, CO 81007-4444 | 2011-12-08 |
| 1710254396 | Daniel S Iler | Pharmacist | 958 Hailey Ln, Pueblo West, CO 81007-4438 | 2011-11-25 |
| Find all providers in PUEBLO WEST | ||||
| City | PUEBLO WEST |
| Zip Code | 81007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.